Free GWS-48.PDF - Colorado

08/98-FORM NO. GWS-48

STATE OF COLORADO OFFICE OF THE STATE ENGINEER DIVISION OF WATER RESOURCES

NONTRIBUTARY GROUND WATER CONSENT CLAIM (FOR AREAS IN A DESIGNATED GROUND WATER BASIN)

________________________________AQUIFER

I (we)_____________________________________________________________________ (Name) claim and say that I (we) have the consent of the owners of ____________acres of overlying land to withdraw ground water from the aquifer indicated above.

The names of the landowners whose consent is claimed are as follows and their Landownership Statements (form GWS-3B), legal descriptions of all claimed land areas and copies of deeds or other transfer documents, recorded in the county or counties in which the land areas are located, are attached. __________________________________________________________________ _________________________________________________________________ _________________________________________________________________

Further, I (we) claim and say that I (we) have read the statements made herein; know the contents hereof; and that the same are true to my (our) own knowledge.

_________________________________ ____________ (Signature) (Date)

__________________________________ ___________ (Signature) (Date) ...................................................................................................................................................... INSTRUCTIONS: The consent claim must be submitted with an application for determination of water right in all cases where the applicant believes or claims that water to be withdrawn is ground water from the Dawson, Denver, Arapahoe or Laramie-Fox Hills aquifers and the applicant is claiming consent of the overlying landowners. Please type or print neatly in black ink. This form may be reproduced by photocopy or word processing means.

1313 Sherman St Rm 818

Denver CO 80203

(303) 866-3581